患者安全
背景(考古学)
医疗保健
代理(哲学)
质量(理念)
可信赖性
医学
护理部
公共关系
情感(语言学)
心理学
社会心理学
社会学
政治学
古生物学
哲学
法学
认识论
生物
沟通
社会科学
出处
期刊:Quality & Safety in Health Care
[BMJ]
日期:2004-02-01
卷期号:13 (1): 56-61
被引量:115
标识
DOI:10.1136/qshc.2003.007971
摘要
Trust is an essential part of health care-not only between clinicians and patients but also between staff and management. Research shows us that trust has a beneficial impact on many aspects of working life, including job satisfaction and organisational effectiveness, and both these factors have been shown to affect the quality of patient care. In addition, trust will now be the keystone for any system developed for services to learn from untoward incidents, such as the Reporting and Learning System of the National Patient Safety Agency in the UK. This type of trust is complex and is explored in terms of what staff need from management and the potential conflicts that might be involved in developing trust in a healthcare organisation. This paper looks at the societal and emotional context of health care today and at research from other organisations which shows the factors that must be in place to establish trust. It reviews the attributes of leaders who are seen as trustworthy, and looks at how all this can be used to increase the reporting of and learning from error.
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